Job Description The Epic Tapestry Analyst is responsible for the design, configuration, implementation, optimization, testing, and ongoing support of the Epic Tapestry (Managed Care/Payer) application. This role partners with payer operations, claims, enrollment, revenue cycle, contracting, and IT teams to ensure efficient management of health plan operations, benefits, eligibility, authorizations, claims adjudication, and reimbursement workflows.
Key Responsibilities
Configure, build, maintain, and optimize Epic Tapestry application components. Support benefit plans, products, packages, coverage rules, eligibility, and enrollment workflows. Configure claims adjudication logic, reimbursement methodologies, fee schedules, and payment policies. Build and maintain authorizations, referrals, and utilization management workflows. Support payer contracts, coordination of benefits (COB), and provider reimbursement processes. Gather and analyze business requirements and translate them into Epic system solutions. Perform system configuration, testing, validation, and deployment activities. Execute unit testing, integrated testing, and User Acceptance Testing (UAT). Troubleshoot application issues and provide production support. Collaborate with Revenue Cycle, Claims, Enrollment, Contracting, Finance, and Provider Relations teams. Support interfaces and integrations with Epic applications and external payer systems. Develop and maintain system documentation, workflows, build specifications, and training materials. Participate in implementation, optimization, upgrade, and go-live activities. Ensure compliance with HIPAA, CMS, Medicare, Medicaid, and healthcare payer regulations. Required Qualifications
Epic Tapestry Certification required (Claims, Membership, Enrollment & Eligibility, CRM, Utilization Management, or related Tapestry certification preferred). 3+ years of Epic Tapestry build and support experience. Strong understanding of payer operations, managed care, claims processing, and health plan workflows. Experience with benefits configuration, eligibility, enrollment, authorizations, and claims adjudication. Knowledge of healthcare regulations and payer requirements. Excellent analytical, troubleshooting, and problem-solving skills. Strong communication and stakeholder management abilities. Experience supporting Epic implementations, upgrades, and optimization projects. Preferred Qualifications
Experience with Medicare, Medicaid, and Commercial Health Plans. Knowledge of EDI, ANSI transactions, HL7 integrations, and payer interfaces. Experience with Epic Clarity, Caboodle, Reporting Workbench, or SQL reporting. Familiarity with Revenue Cycle, Claims, Enrollment, and Contracting operations. Prior consulting or multi-site healthcare implementation experience. Technical Skills
Epic Tapestry Configuration & Build Claims Adjudication Enrollment & Eligibility Benefits Administration Utilization Management (UM) Referrals & Authorizations Provider Contracting EDI / ANSI Transactions Reporting & Analytics Workflow Analysis & Optimization Testing & Validation Production Support Preferred Certifications
Epic Tapestry Certification Epic Tapestry Claims Administration Epic Tapestry Membership Epic Tapestry Enrollment & Eligibility Epic Tapestry Utilization Managemen Show more Numbers & Facts Location Albany, AL Job Type Full-time
Skills
Acceptance Testingunmatched
Adjudicationunmatched
American National Standards Institute (ANSI)unmatched
Analysis Skillsunmatched
Apache Tapestryunmatched
Business Analysisunmatched
Centers for Medicare and Medicaid Services (CMS)unmatched
Claims Processingunmatched
Communication Skillsunmatched
Compensation and Benefitsunmatched
Consultingunmatched
Contract Managementunmatched
Customer Relationship Management (CRM)unmatched
Documentationunmatched
Electronic Data Interchange (EDI)unmatched
Epic Caboodleunmatched
Epic Certificationunmatched
Epic Clarityunmatched
Epic Reporting Workbenchunmatched
Epic Systemsunmatched
Epic Tapestryunmatched
Fee Scheduleunmatched
Financeunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
HL7 (Health Level 7)unmatched
Health Informaticsunmatched
Health Planunmatched
Healthcareunmatched
Identify Issuesunmatched
Maintain Complianceunmatched
Managed Careunmatched
Medicaidunmatched
Medicareunmatched
Operations Managementunmatched
Problem Solving Skillsunmatched
Product Planningunmatched
Production Supportunmatched
Provider Contractingunmatched
Provider Relationsunmatched
Regulationsunmatched
Reimbursementunmatched
Requirements Managementunmatched
SQL (Structured Query Language)unmatched
System Testunmatched
Systems Administration/Managementunmatched
Systems Maintenanceunmatched
Testingunmatched
Unit Testunmatched
Utilization Managementunmatched
Validation Testingunmatched
Workflow Analysisunmatched
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